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NPI Code Detail

MEDICARE: LITTLE TESLA PEDIATRIC THERAPY LLC

MEDICARE: LITTLE TESLA PEDIATRIC THERAPY LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225XP0200XPediatric Occupational TherapistOT 12747FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1578997268
Entity Type Code : Organization
Provider Name (Legal Business Name) : LITTLE TESLA PEDIATRIC THERAPY LLC
Provider Business Mailing Address
First Line : 6230 MORNING MIST LN
Second Line :
City : ORLANDO
State : FL
Zip : 32819-6915
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 7075 KINGSPOINTE PKWY STE 14
Second Line :
City : ORLANDO
State : FL
Zip : 32819-6542
Country : US
Telephone Number : 321-732-3723
Fax Number : 321-352-7168
Authorized Official
Title or Position : DIRECTOR
Name : VESNA CANDIC
Credential : OTR
Telephone Number : 321-368-2172
Provider Enumeration Date : 08/29/2013
Last Update Date : 06/12/2025

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Directions to “LITTLE TESLA PEDIATRIC THERAPY LLC ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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